• Annisa Hidayati Program Studi Kedokteran, Fakultas Kedokteran Universitas Mulawarman Samarinda
  • Abdul Mu'ti Laboratorium Ilmu Radiologi, Fakultas Kedokteran Universitas Mulawarman, Samarinda
  • Muhammad Ikhwan Nur Laboratorium Anestesiologi & Terapi Intensif, Fakultas Kedokteran Universitas Mulawarman, Samarinda
Keywords: Caesarean ERAS, efficacy, maternal external, pain management, length of stay, hospital stay cost


ERAS method, which is originally intended for colorectal patients, has been recently adopted into obstetrics and extensively studied in the Caesarean Section surgery. However, it is believed that the effectiveness of ERAS for Caesarean Section is quite poor. There is also lack of literature especially on improving mother’s recovery.  The purpose of this systematic review is to evaluate Caesarean Section patients with ERAS Protocol and without ERAS Protocol in relation to length of stay, hospital stay cost, and postoperative pain scale. This systematic review was carried out by searching for studies containing in the database or search engine accessed through Pubmed, Clinical Key, Google Scholar, Research Gate, and Science Direct from 2016 to 2021 using Indonesian and English. Out of 225 studies, only 11 studies fulfilled the inclusion criteria. They were divided into 8 cohort studies and 3 RCT studies. There were three findings revealed. First, 78% studies reported that length of stay was reduced in ERAS group. Second, 100% studies had the link with hospital stay cost reduction in ERAS group. Third, 100% studies disclosed reduced postoperative pain scale in ERAS group. Based on the findings, it can be concluded that there was a significant difference between ERAS group and conventional service group in terms of length of stay, hospital stay cost, and postoperative pain scale.


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